{include file=member.header.html}
<div class="deposit margin10">
	<div class="bank">
		<div class="bank-add">
			<div class="notice-word">
				<p>当您申请提现时平台会向您这里设置的银行卡汇款，请确保您的银行卡是正确的。</p>
			</div>
			<form class="J_AjaxForm" method="post">
				<div class="form">
					<dl class="bank-list">
						<dt class="mb10">开户银行</dt>
						<dd>
							<ul class="ui-list-icons clearfix rebuildWrap">
								<!--{foreach from=$bank_inc item=bank key=key name=fe_bank}-->
								<li class="rebuildInput" {if $smarty.foreach.fe_bank.iteration % 2 eq 0} style="float:right"{/if}>
									<input class="J_AjaxFormFields"  type="radio" name="short_name" id="{$key}" value="{$key}" {if $smarty.foreach.fe_bank.first}checked="checked" {/if} {if $smarty.get.short_name eq $key} checked="checked" {/if}  />
									<label class="  icon-box current " for="{$key}" > <span class="icon-cashier icon-cashier-{$key}" title="{$bank}">&nbsp;</span> </label>
								</li>
								<!--{/foreach}-->
							</ul>
						</dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd class="input-wrap">
							<input placeholder="卡号" type="text" name="num" class="J_AjaxFormFields input-s1" value="{$card.num}" />
						</dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd class="input-wrap">
							<input placeholder="户名" type="text" name="account_name" class="J_AjaxFormFields input-s1" value="{$card.account_name}" />
						</dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd class="input-wrap">
							<input type="text" placeholder="开户银行 示例：XXX银行XXX支行" name="open_bank" class="J_AjaxFormFields input-s1" value="{$card.open_bank}" />
						</dd>
					</dl>
					<dl class="mt10 clearfix">
						<dt class="mb10">卡类型</dt>
						<dd class="card-type rebuildWrap">
							<label class="rebuildInput">
								<input class="J_AjaxFormFields" type="radio" name="type" value="debit" {if $smarty.get.type eq 'debit' || $card.type eq 'debit'} checked="checked" {/if} />
								储蓄卡（借记卡）</label>
							<label class="rebuildInput">
								<input class="J_AjaxFormFields" type="radio" name="type" value="credit" {if $smarty.get.type eq 'credit' || $card.type eq 'credit'} checked="checked" {/if} />
								信用卡（贷记卡）</label>
						</dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd class="captcha clearfix">
							<input placeholder="{$lang.captcha}" type="text" name="captcha" class="J_AjaxFormFields input-s1 input-s1-w1" id="captcha1" />
							<a href="javascript:change_captcha($('#captcha'));" class="renewedly"><img id="captcha" src="mobile/index.php?app=captcha&amp;{$random_number}" /></a> </dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd>
						<input type="hidden" name="ret_url" class="J_AjaxFormFields J_AjaxFormSuccessRet" value="{url app=deposit}" />
						<input type="submit" class="J_AjaxFormSubmit btn-alipay" value="{$lang.submit}" /></dd>
					</dl>
				</div>
			</form>
		</div>
	</div>
</div>
{include file=footer.html} 